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General NPI Number Information
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NPI Number | 1639187180
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Entity Type | Organization
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Legal Business Name | SOUTH BROWARD HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE STE 100
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-265-2234
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Fax | 954-265-6380
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Provider Business Mailing Address
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Address Line | 2900 CORPORATE WAY DOOR D
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City | MIRAMAR
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State | FL
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Zip | 33025-3925
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Country | US
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Telephone | 954-276-5685
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Fax | 954-985-7074
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Authorized Official
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Title or Position | CFO MPG, MPC & UCC
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Name | ESTHER SURUJON
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Credential |
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Telephone | 954-265-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State |
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